Journal of Research & Innovation in Anesthesia

Register      Login

VOLUME 4 , ISSUE 1 ( January-June, 2019 ) > List of Articles


Position of the Embolized Atrial Septal Defect Device Matters in Retrieval and Safe Outcome

Reena Nebu, Renu L Upadhyay, Sanjeeta R Umbarkar, Manjula S Sarkar

Keywords : Amplatzer septal occluder, Aortic rim, Atrial septal defect, Device embolization, Main pulmonary artery

Citation Information : Nebu R, Upadhyay RL, Umbarkar SR, Sarkar MS. Position of the Embolized Atrial Septal Defect Device Matters in Retrieval and Safe Outcome. Res Inno in Anesth 2019; 4 (1):21-22.

DOI: 10.5005/jp-journals-10049-0063

License: CC BY-NC 4.0

Published Online: 01-10-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Percutaneous device closure of atrial septal defect (ASD) is an alternative to traditional surgical closure. Various advantages of percutaneous correction are less invasive, early recovery, less hospital stay. Yet the complications such as arrhythmia, cardiac tamponade, and device embolization cannot be ignored. We report a case of ASD device embolization in case of ostium secondum ASD with deficient aortic rim. The embolized device was stuck in the main pulmonary artery at bifurcation in the vertical position, which required surgical intervention for retrieval.

  1. Celermajer DS. Atrial septal defects: even simple congenital heart diseases can be complicated. Eur Heart J 2018;39(12):999–1001. DOI: 10.1093/eurheartj/ehx633.
  2. Hamur H, Onk OA, Degirmenci H, et al. The retrieval of atrial septal defect closure device embolised into aortic arch. Intractable Rare Dis Res 2016;5(2):114–116. DOI: 10.5582/irdr.2016.01016.
  3. Son JW, Park JS. Subacute, silent embolization of amplatzer atrial septal defect closure device to the pulmonary artery. J Cardiovasc Ultrasound 2012;20:201–204. DOI: 10.4250/jcu.2012.20.4.201.
  4. Levi DS, Moore JW. Embolization and retrieval of the Amplatzer septal occluder. Catheter Cardiovasc Interv 2004;61:543–547. DOI: 10.1002/ccd.20011.
  5. Misra M, Sadiq A, Namboodiri N, et al. The ‘aortic rim’ recount: embolization of interatrial septal occluder into the main pulmonary artery bifurcation after atrial septal defect closure. Interact Cardiovasc Thorac Surg 2007;6(3):384–386. DOI: 10.1510/icvts.2006.141044.
  6. Lin SM, Tsai SK, Wang JK, et al. Supplementing transesophageal echocardiography with transthoracic echocardiography for monitoring transcatheter closure of atrial septal defects with attenuated anterior rim: a case series. Anesth Analg 2003;96(6):1584–1588. DOI: 10.1213/01.ANE.0000062651.59656.B4.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.